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Home My WebLink AboutE-19-3419 Commonwealth of Official Use Only 1E ` Massachusetts Permit No. BLDE-19-003419 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PL EA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/4/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 10 NAUSET RD Owner or Tenant CAHOON LYNDA B • Telephone No. Owner's Address 8 MARS LN,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building - Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ElNo.of Emergency Lighting Qrnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump _Number Tons KW No.of Self-Contained 1 • Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Steven J Paine Licensee: Steven J Paine Signature LIC.NO.: 12743 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 108 CONSTANCE AVE.W YARMOUTH MA 026731509 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 egiti n-fooe • Commonwealth oilMassachuaett1-. - Off icial Q\Iicial Use ✓ZIv ��. . cc}}�� 1 Permit No. Is_ 2epartment oiJire&diced - �a. .- Occupancy and Fee Checked '', �l BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRLVTININK ORTYPE ALL INFOR/NATION) Date: /a/O '%P City or Town of: VasCyt?r�t/tZit To the Inspector of Wires: By this application the undersigned gi'ts notice of his or her intention to perform the electrical work described below. Location(Street&Number) A)CtOset` Road .• /0 Owner or Tenant Lmidez f&ho0/t) _'`� Telephone No. Owner's Address /O NCt u Cr taur.i west" Yal4naSSi mass a9 7 3 Is this permit in conjunction with a building permit? Yes p No [S ' (Check Appropriate Box) pPurpose of Building Utility Authorization No. Existing Service /60 Amps /a?J/ALSO Volts Overhead[2"--- Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ® Number o'Feedets and Ampacity IILocat11tkr and Nature of Proposed Electrical Work: f 11 L Sed 4C- punt,c 44 m co � `t N Fm t Completion of the following table may be waived by the Inspector of Wires. U. at ^ tessed Luminaires - No.of Ceil.-Susp.(Paddle)Fans Na of Total Transformrs -KVA _LLCNo o tlminaire Outlets. No.of Hot Tubs Generators I{VA . . .0ro.o€I ELI U= aAbove In- No.of Emergency LightingNo.of Lu inaires Swimming Pool orad. 0 grad. 0 Battery Units _ No.of Re eptacle Outlets . No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Tons No.of Alerting Devices No.-of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices . No.of Dishwashers Space/Area Heating RW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water No.of No.of • Data Wiring: Heaters IAV Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: • Na of Devices or Equivalent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value ofE)ectri l Work: 7J•Cee/ (When required by municipal policy.) Work to Start: .41703//, Inspections to be requested in accordance with 1vIEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The • undersigned certifies that such cosis in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: .S`- � ✓eu7 a I t ie &/re/vents 1 LIC.NO.: %d' 793 a ' Licensee: S'ti,J, j1 et/Nr Signature n___ LIC.NO.: /a 75/3 Q (If applicable.enter"exempt"in the license number line) /' Bus.Tel.No.•77e/995/ail Ai Address: /OR &,nC rezlCr 19-tie t ,PIT'Ver labs MA oa673 Alt Tel.No.• 'Per M.G.L.c. 147,s.57-61,security work requires Dep6rtment of Public Safety"S"License: Lit.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERIlITFEE: $ ja